Healthcare Management Systems Jobs

... looking for a Lead on Systems/Tools. This person will lead our ... helping non-technical business leaders understand systems. You understand that Change is ... you have a few Change..

... Care Managers, because our case management services are centered on the ... by ability to navigate multiple systems, utilizing dual computer monitors. Provide ... for optimal performance from Humana..

Are you a CNA or PCA Caregiver that is looking for a job where you can make a difference in someone's life? We have an opportunity for you to work one-on-one ..

Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..

Job Information Humana Care Guide - Physical Health in Canton Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..

... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... database integrations, network and hosting..

Job Information Humana Senior Provider Contracting Professional - OH Medicaid in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..

Job ID 21000N08Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area professional ... Excel, PowerPoint, Outlook, and..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

Cleveland Clinic is currently seeking Board Eligible/Certified Interventional Radiologistto join the Imaging Institutes Department of Regional Radiology at Mercy Hospital in Canton, Ohio . Formal training in Interventional Radiology is required ..

Job Information Humana Quality Improvement Coordinator in Canton Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

POSITION SUMMARY:   The Safety Specialist will be responsible for providing assistance (develop policies/procedures, conduct safety audits and inspections, perform training, administer Safety programs, etc.) to the safety and health efforts of ..

Job ID 21000JM7Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

... choose to receive their care management from the MCO). Care Manager ... performance from Humana At Home systems if 25Mx10M Driver's License, Transportation, ... for TB. Preferred Qualifications Case..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..

... providers directly Multi-tasks in different systems Travel up to 20% In ... 2 years of progressive network management experience including physician contracting and ... and network administration in a..

... RISE Plan, and/or a Care Management Entity, or who choose to ... choose to receive their care management from the MCO). Care Manager ... Plan, CPCs, and/or a Care..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..